Tunable  Resurfacing  Laser™ -  TRL                                       SCITON


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                                                               “Turn back time & reveal healthier, younger skin”






What is Tunable Resurfacing Laser - TRL and what does it treat?

TRL technology makes the Sciton resurfacing laser truly unique among other resurfacing lasers.  It offers independent precison control over the depth of ablation and coagulation making it easy to ablate as shallow or deep as you like, with or without  thermal coagulation.  This helps  to eliminate unwanted side effects such as hypo pigmentation, sustained erythema (redness), and prolonged recovery times.

  • The Tunable Laser is a full field medical laser that ablates deeper into the skin through the epidermis down into the dermis to address deeper wrinkles.   It is regarded as the safest most effective laser available to physicians and is ideal for treating deeper lines and wrinkles especially those around the mouth and eyes that have formed due to aging, sun damage, pollutants, and smoking.
  • Conditions effectively treated by TRL

    - Mild to deep wrinkles

    - Acne scars, post-traumatic and surgical scars

    - Pigmented lesions, sun and age spots

    - Actinic keratosis

    - Uneven skin tone/texture


How does it work?

  • TRL procedure uses a 2940 nm Erbium YAG laser to precisely ablate predetermined layers of skin layer by layer with the computerized contour scanner.   This allows for a wide variety of treatment options, from shallow peels (up to 40µm of ablation) to deep resurfacing (up to 200µm of ablation per pass, with or without coagulation).
  • The TRL treats tissue with micron precision by tuning in exactly the  energy setting required – the higher the energy the deeper the treatment.  You will receive only the exact amount of laser energy needed for your skin as determined by the physician. 
  • Treating skin with the laser to the depth of the papillary dermis stimulates the growth of new collagen “re-epithelialization”, which ultimately improves the skin’s thickness and resilience.  The skin surface will be renewed with fresh healthy cells giving your skin a rejuvenated appearance. 
  • TRL technology provides the ability to plane down wrinkles externally while internally stimulating the dermal collagen matrix to firm the skin and add dermal stabiltiy.  A more youthful, pinker and smoother even toned skin will be yours to look forward to.



                            Before                   After                         Before                 After



                           Before                   After                     Before                   After



                                                        Before                         After



What to expect during treatment?

  • Make-up and contact lens will be removed.  Photos will be taken and a topical numbing cream applied which will take an hour to take effect.  For deeper treatments a subcutaneous local anesthetic will be given (similar to a nerve block given by a dentist  for freezing) just before the treatment.
  • The procedure will generally take 45- 90 minutes depending on the size of the area treated.  Safety  glasses and when necessary eye sheilds will be worn to protect your eyes.
  • The laser handpiece will be positioned  above the skin and held there while the computer guided scanner moves the laser beam back and forth over the selected area being treated.
  •  Comfort level varies from person to person.  In the areas that received the local anesthetic you will be completely numb and will not feel anything.  Areas with numbing cream may feel some heat and some discomfort like snapping or pin pricks on the skin.
  • When the treatment is finished you will notice your skin feels tight and warm.  Areas that were treated with the deeper laser peel may have a brownish/yellow tone to the skin. 
  • An occlusive barrier of Aquaphor will be applied to the treated area.  Keeping the area covered with Aquaphor for the next few days will help aid in the healing process.  Do not to use other products until the skin has healed.
  • You will be given complete Post Care Instructions to take home. Important to read carefully and follow exactly as directed.
  • Our esthetician can recommend skin care products and sunscreen you can use at home to enhance and maintain results. 


How much downtime?

  • Downtime will closely depend on the depth of your treatment, your state of health , your age and how well you take care of your skin after your treatment.
  •  A lighter TRL may result in 4-5 days of downtime, whereas a deep TRL could range from 5-10 days. 
  • The day after a treatment you will notice weeping and crusting of the skin and it will still have some warmth and redness.  Redness similar to a sunburn normally persists for 24 hours to 3 days, or 2-3 weeks depending on the depth of treatment.  Residual redness may persist for a longer period of time but will fade gradually each day. 
  • Swelling for 1 to 2 days –use of a cold compress will help to relieve the swelling and provide comfort.  Sleeping upright for the first night will also reduce swelling.
  • Keep the skin clean and keep it covered with a protective barrier such as Aquaphor or Vaseline to hold in moisture and protect from external pollutants as the skin heals.  Do Not use other products.
  • Peeling and flaking will occur after 24 hours.  DO NOT PICK – let it come off naturally. The redness and flaking may last 2-5 days depending on the peel depth.  The skin is likely to feel itchy as the old skin is shed and the new skin is formed.  Benadryl tablets plus hydrocortisone cream will help.
  • Avoid direct sunlight for 2 months post treatment.
  • Once the skin has healed  APPLY SUNSCREEN of at least 35-70 SPF when going outside at all times.
  • Avoid hot tubs, sauna, steam and strenuous exercise and sweating until your skin has healed.
  • Make-up can be applied once the skin has healed – no sooner.
  • Stop Retin A (Vit A), Vit C serum, AHA products, lightening creams 1 week prior and 1 week after treatment or once the skin has healed.  With deeper treatments it may take up to 4 weeks before the above products can be applied as the new skin will be too sensitive.


What areas can be treated?

         TRL can be used on all skin types, both on the face and the body.

         Face, neck, chest, and hands  are most commonly treated. 

How many treatments are required?


  • Because TRL is capable of deep laser peels, excellent results are typically achieved after just one treatment.  If you do not have a lot of downtime available than 2 or more shallower treatments can be done spaced 3-4 months apart.
  • Maximum benefits from a TRL will be seen 4-6 months post treatment.  You will see positive changes in skin tone and texture within the first 2-3 weeks. 
  • Improvements will continue for up to 6-12 months after. 


What is the required post care?

  • It is important to follow the clinicians post care advice following a TRL treatment to achieve results you desire.
  • You will be very sensitive to UV light and must avoid direct sun exposure until completely healed from a treatment.  Avoid direct sunlight for 2 months post treatment.  Once the exposed skin has healed you will need a good quality full spectrum sunscreen with at least 35-70 SPF when going outside at all times.
  • Discuss with our esthetician skin care products and sunscreen that will best suit your needs.



A consultation with Dr. Andre Kirsten will determine how Tunable Resurfacing Laser treatment  TRL can help with your concerns.


It may be recommended that you combine  TRL with a MicroLaser Peel, a Profractional, BBL or a SkinTyte to further enhance your results and get the desired level of improvement.


                                                    Phone 250-354-2003 to book your confidential appointment.



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